Individual provider Active NPI

Brett Edouard Valette, PHD

  • Psychologist
  • Northglenn, CO
National Provider Identifier
1770831612
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-1548 Issued in CO
Practice address
992 W 104TH Ave
Northglenn, CO 80234-3801
Phone
(303) 234-1026
Fax
(303) 758-7798
NPI assigned
Aug 27, 2012
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-1548 CO Primary

Addresses

Primary practice location

992 W 104TH Ave
Northglenn, CO 80234-3801

Mailing address

992 West 104TH Avenue
Northglenn, CO 80234
Phone (303) 234-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-1548COMDPsychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1770831612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 WEST 104TH AVENUE",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "80234",
            "telephone_number": "303-234-1026",
            "fax_number": "303-758-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 W 104TH AVE",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343801",
            "telephone_number": "303-234-1026",
            "fax_number": "303-758-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALETTE",
        "first_name": "BRETT",
        "middle_name": "EDOUARD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY-1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.